Individual
TEANDRA VASHON GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1415 CALIFORNIA ST, HOUSTON, TX 77006-2602
(832) 548-5000
Mailing address
PO BOX 66308, HOUSTON, TX 77266
(832) 548-5076
(713) 523-4897
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
201263
TX
106H00000X
Marriage & Family Therapist
Primary
201263
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080462703
—
TX
Enumeration date
01/06/2012
Last updated
07/21/2022
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